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RASS TAPP is possible and safe with a higher patient satisfaction. But, the physician experiences a technical vexation because of the dispute of the instrumentation which influences negatively the selection of the approach, inspite of the much better sight and augmented dexterity supplied by the robot. Reinforced prosthetic crural fix is specially suggested for giant hiatal hernias. The rationale would be to reduce the recurrence rate in the long run. The goal of

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